Displaying 126951-126960 of 1611142 results.
ID:
126951
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126952
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
126953
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126954
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
126955
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
126956
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126957
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126958
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126959
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126960
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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